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https://www.readbyqxmd.com/read/29441286/burying-the-appendiceal-stump-during-appendicectomy-state-of-art
#1
Valerio Aceti, Alessandro Boscarelli
No abstract text is available yet for this article.
January 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29410692/evaluating-the-risk-of-appendiceal-perforation-when-using-ultrasound-as-the-initial-diagnostic-imaging-modality-in-children-with-suspected-appendicitis
#2
Stephen Alerhand, James Meltzer, Ee Tein Tay
Background: Ultrasound scan has gained attention for diagnosing appendicitis due to its avoidance of ionizing radiation. However, studies show that ultrasound scan carries inferior sensitivity to computed tomography scan. A non-diagnostic ultrasound scan could increase the time to diagnosis and appendicectomy, particularly if follow-up computed tomography scan is needed. Some studies suggest that delaying appendicectomy increases the risk of perforation. Objective: To investigate the risk of appendiceal perforation when using ultrasound scan as the initial diagnostic imaging modality in children with suspected appendicitis...
August 2017: Ultrasound: Journal of the British Medical Ultrasound Society
https://www.readbyqxmd.com/read/29386763/ileal-cystic-lymphangioma-presenting-with-acute-appendicitis
#3
Su-Ann Lui, Yoke Lin Nyo, V P Mali
Mesenteric lymphatic malformations are rare benign tumors that are most commonly found in children. The presentation of these tumors can be variable. It has been suggested that mesenteric lymphatic malformations are congenital; however, there is evidence that their size may be increased by infection. A 3-year 10-month-old boy presented with rhinorrhea and cough followed by acute abdominal pain. Ultrasonography revealed a lobulated mass in the lower abdomen. Computerized tomography scan of the abdomen diagnosed an inflamed appendix with perforation...
January 2018: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/29383236/amyand-s-hernia-managed-with-open-repair-and-laparoscopic-appendicectomy
#4
Suha Abdulla, Kathryn Lynes, Sathyan Nagendram, Mansoor Akhtar
We present a rare case of Amyand's hernia that was surgically managed using an open repair of hernia combined with laparoscopic appendicectomy. A 68-year-old man presented with an irreducible recurrent right-sided inguinal hernia and abdominal pain. This gentleman had undergone three previous inguinal hernia repairs on the right, and one on the left using the open mesh technique. Ultrasound suggested the possibility of the appendix within the hernial sac and clinical correlation was advised. An open groin approach was taken to repair the incarcerated hernia...
November 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29337180/impact-of-an-acute-surgical-unit-in-appendicectomy-outcomes-a-systematic-review-and-meta-analysis
#5
REVIEW
Ishwarya Balasubramanian, Ben Creavin, Des Winter
BACKGROUND: The provision of emergency general surgical services is undergoing a paradigm shift towards a consultant led, patient centered model in order to improve patient outcomes. The aim of this current study is to use meta-analytical techniques to assess the efficacy of acute surgical unit (ASU) in appendectomy. METHODS: A meta-analysis was conducted according to the PRISMA guidelines. A comprehensive literature search of PubMed, Embase and Scopus for published studies comparing ASU and traditional (TRAD) model on appendectomy outcomes was performed...
January 11, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29331965/right-iliac-fossa-pain-treatment-rift-study-protocol-for-an-international-multicentre-prospective-observational-study
#6
Dmitri Nepogodiev
INTRODUCTION: Patients presenting with right iliac fossa (RIF) pain are a common challenge for acute general surgical services. Given the range of potential pathologies, RIF pain creates diagnostic uncertainty and there is subsequent variation in investigation and management. Appendicitis is a diagnosis which must be considered in all patients with RIF pain; however, over a fifth of patients undergoing appendicectomy, in the UK, have been proven to have a histologically normal appendix (negative appendicectomy)...
January 13, 2018: BMJ Open
https://www.readbyqxmd.com/read/29328802/case-study-laparoscopic-appendicectomy-requirements-and-human-factors-surrounding-emergency-care
#7
Julie Widdecombe, Mark Owen
The purpose of this case study is to inform practitioners of the requirements for non-scheduled surgery and the legal, professional and ethical issues surrounding emergencies. Areas for learning include the surgical requirements for appendectomy, evaluation of the differences between scheduled and unscheduled care, and consideration of the vital role that human factors play in emergency situations.
May 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29309777/endoscopic-mucosal-resection-of-laterally-spreading-lesions-around-or-involving-the-appendiceal-orifice-technique-risk-factors-for-failure-and-outcomes-of-a-tertiary-referral-cohort-with-video
#8
David J Tate, Lobke Desomer, Halim Awadie, Kathleen Goodrick, Luke Hourigan, Rajvinder Singh, Stephen J Williams, Michael J Bourke
BACKGROUND AND AIMS: Endoscopic mucosal resection (EMR) of peri-appendiceal sessile laterally spreading lesions (PA-LSLs) is technically demanding due to poor endoscopic access to the appendiceal lumen and the thin colonic wall at the base of the cecum. We aimed to assess the feasibility and safety of EMR for PA-LSLs. METHODS: Consecutive LSLs ≥20 mm and PA-LSLs ≥10 mm detected at 3 academic endoscopy centers from September 2008 until January 2017 were eligible...
January 5, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29241966/streptococcus-anginosus-is-associated-with-postoperative-intraabdominal-collections-in-appendicitis
#9
Thejasvi Subramanian, Ellen Jerome, Ian Jones, Ingo Jester
AIM OF STUDY: Streptococcus anginosus group (SA) (formerly Streptococcus milleri) are pathogens recognised to have a high risk of postoperative collection in appendicitis, although little data exist specifically in children. We performed a retrospective review of all microbiological data from appendicectomies to assess whether there was an association in children. METHODS: A retrospective case note review of patients admitted to a paediatric tertiary centre coded for appendicitis from January 2015 to October 2016 was completed...
November 12, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29230284/acute-appendicitis-presenting-as-a-complicated-inguinal-hernia-a-case-of-left-sided-amyand-s-hernia-in-an-elderly-man
#10
Emmanuel Katsogridakis, Goran Pokusevski, Peter Byrne
Amyand's hernia (AH) is characterized by the presence of the vermiform appendix in an inguinal hernia sac. Typically presenting on the right side and with manifestations similar to those seen in complicated hernias, it presents a diagnostic challenge and is frequently only diagnosed intraoperatively. We present the case of a left-sided AH on a 75-year-old man treated with appendicectomy, orchidectomy and hernioplasty without mesh.
November 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29224568/internal-herniation-through-lesser-omentum-hiatus-and-gastrocolic-ligament%C3%A2-with-malrotation-a-case-report
#11
Ang Li, Renwang Hu, Dong Zhou, Senmao Li, Dan Huang, Xin Wei, Zhixin Cao
BACKGROUND: Internal herniation through lesser omentum hiatus and gastrocolic ligament with malrotation is extremely rare. This type of internal hernia has rarely been described before. Preoperative diagnosis is difficult and prone to misdiagnosis. CASE PRESENTATION: A 38-year-old Chinese woman was an emergency admission to our hospital with a sudden onset of acute epigastralgia for the past 14 hours. We made a presumptive diagnosis of gastrointestinal perforation and septic shock...
December 11, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29205807/post-operative-telephone-review-is-safe-and-effective-prospective-study-monash-outpatient-review-by-phone-trial
#12
Yi Ma, Gregory Jones, Yeng Kwang Tay, Toni Hunter, Dane Holden, Stephen Rodgers-Wilson, Paul Cashin, Pee Yau Tan, Daniel Croagh
INTRODUCTION: Studies have shown that post-operative telephone follow-up is satisfactory and effective. As high quality evidence is scant, we conducted a randomized controlled trial to compare it against outpatient clinic review for emergency laparoscopic appendicectomy or cholecystectomy. METHOD: Patients who received emergency laparoscopic appendicectomy or cholecystectomy were eligible for this study. Once recruited, they were randomly allocated to either clinic review or telephone follow-up on discharge...
December 5, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29148199/five-lessons-in-uncomplicated-appendicitis-can-we-remove-the-surgery
#13
Andrew Read, Jane Xu, Susan Adams, Jonathan Karpelowsky
Appendicectomy has remained the treatment of choice for appendicitis for over a century and is the most commonly performed emergency operation in children. However, emerging evidence suggests that appendicectomy may not always be necessary in uncomplicated appendicitis, with early paediatric trials demonstrating that antibiotic-only therapy can be safe and effective. Further rigorously designed and appropriately powered studies are necessarily to establish the place of non-operative management of uncomplicated appendicitis in the future...
November 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29134955/is-ultrasound-a-reliable-diagnostic-tool-for-acute-appendicitis-a-single-centre-experience
#14
Dimitrios Zosimas, Panagis M Lykoudis, Phoebe Leung, Giuseppe Strano, Veeranna Shatkar
AIM: Aim of the present study is to evaluate the utility of US as a diagnostic method for acute appendicitis (AA) in a district general hospital, by use of accurate quality indices. MATERIAL AND METHODS: The records of all patients who underwent an appendicectomy in a one year period in a single centre were reviewed. The patients who underwent a preoperative US scan were included in the study in accordance to specific criteria and the results were statistically compared to the final surgical histology...
November 14, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29128820/ct-guided-appendicectomy-incision-a-prospective-case-series
#15
Vijay Naraynsingh, Shravan S Teelucksingh, Sanjeeva Goli, Shariful Islam, Shamir Cawich, Yardesh Singh, Ravi Maharaj
OBJECTIVE: Several radiological studies have suggested that the base of the Appendix often does not correspond with Mc Burney's point. The aim of our study is to assess the value of using CT localization of the appendicocaecal junction to guide placement of the appendicectomy incision. DESIGN & METHOD: 32 consecutive patients, booked for open appendicectomy were prospectively included in this study. Coronal and axial CT scans with IV contrast were studied to assess site of the appendicocaecal junction...
November 8, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29066523/non-operative-management-of-appendicitis-in-children
#16
REVIEW
Nigel J Hall, Simon Eaton
While appendicectomy has been considered the mainstay of treatment for children with acute appendicitis for many decades, there has been a great deal of recent interest in non-operative treatment (NOT) with antibiotics alone. Initial results suggest that many children with appendicitis can indeed be safely treated with NOT and can be spared the surgeon's knife. Many as yet unanswered questions remain, however, before NOT can be considered a realistic and reliable alternative to surgery. This review summaries current knowledge and understanding of the role of NOT in children with appendicitis and outlines and discusses the outstanding knowledge gaps...
October 24, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29046077/cost-effectiveness-of-routine-imaging-of-suspected-appendicitis
#17
N D'Souza, M Marsden, S Bottomley, N Nagarajah, F Scutt, S Toh
Introduction The misdiagnosis of appendicitis and consequent removal of a normal appendix occurs in one in five patients in the UK. On the contrary, in healthcare systems with routine cross-sectional imaging of suspected appendicitis, the negative appendicectomy rate is around 5%. If we could reduce the rate in the UK to similar numbers, would this be cost effective? This study aimed to calculate the financial impact of negative appendicectomy at the Queen Alexandra Hospital and to explore whether a policy of routine imaging of such patients could reduce hospital costs...
January 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29044790/acute-appendicitis
#18
REVIEW
Mark D Stringer
Acute appendicitis is the most common reason for abdominal surgery in children. Luminal obstruction of the appendix progresses to suppurative inflammation and perforation, which causes generalised peritonitis or an appendix mass/abscess. Classical features include periumbilical pain that migrates to the right iliac fossa, anorexia, fever, and tenderness and guarding in the right iliac fossa. Atypical presentations are particularly common in preschool children. A clinical diagnosis is possible in most cases, after a period of active observation if necessary; inflammatory markers and an ultrasound scan are useful investigations when the diagnosis is uncertain...
November 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29030932/a-prospective-audit-of-pain-profiles-following-general-and-urological-surgery-in-children
#19
Caroline A Wilson, David Sommerfield, Thomas F E Drake-Brockman, Claudia Lagrange, Anoop Ramgolam, Britta S von Ungern-Sternberg
BACKGROUND: Postoperative pain is frequently undertreated in children both in hospital and at home following discharge. Pain has both short- and long-term consequences for children, their families, and the healthcare system. A greater understanding of procedure-specific postoperative pain trajectories is required to improve pain management. AIM: To determine the duration and severity of acute postoperative pain experienced by children undergoing 8 different general and urological procedures (primary outcomes)...
November 2017: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29022814/a-porcine-model-for-teaching-laparoscopic-appendicectomy
#20
S G Goddard, N Warren
No abstract text is available yet for this article.
September 13, 2017: Annals of the Royal College of Surgeons of England
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